Individual
DR. GABRIEL SOUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(410) 935-6685
Mailing address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(410) 935-6685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D45134
MD
207U00000X
Nuclear Medicine Physician
Primary
D45134
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364201100
—
MD
01
—
60982201
BLUE SHIELD
MD
01
—
T3900001
BLUE SHIELD
DC
Enumeration date
08/25/2006
Last updated
09/21/2016
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